October 17th to 19th
VISA authorisation form
You may participate in Nordx even if you haven’t registred in advance. Print out this form, fill in the details and snail-mail the form together with your registration form and contest logs to the Nordx address. The envelope must be postmarked no later than October 27. (Please do NOT send us your credit card details by e-mail!)
I hereby authorise DX-Listeners’ Club, Norway to draw the amount of NOK 75,- from my VISA account:
Name (block letters please): ________________________________
Account number: ________________________________________
Expiry date: ____________________________________________
Date: _________________________________________________
Signature: _____________________________________________
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